UPI (Provider ID): 10172
Change Report (if Any):

Short Name: FAM SER-JEFF

Long Name 1: FAMILY SERVICE ASSOCIATION INC
Long Name 2:

Address 1: 226 NORTH FOURTH STREET
Address 2:

City: STEUBENVILLE
Zip Code: 43952
County: JEFF

Contact: GREGORY ZUK
Title: EXDIR
Phone: 7402834763
FAX: 7402832929

Vendor: 10172

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 03/02/2012

File Produced: 19MAY2012